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Organization

COPELAND LEGACY LLC

Active
Other names
Real Nurturing Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
TAHRA PRESTO (BILLING MANAGER)
(404) 977-8013
Entity
Organization

Contact information

Practice address
17920 HUFFMEISTER RD STE 330, CYPRESS, TX 77429-4286
(713) 714-6343
Mailing address
17920 HUFFMEISTER RD STE 330, CYPRESS, TX 77429-4286

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/20/2020
Last updated
08/20/2020
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